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Trinidad And Tobago

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  • 1. PRESENTATION TO: PAHO/WHO ‘KNOW YOUR STATUS’ WORKSHOP, SURINAME 21ST -22nd APRIL, 2005 VOLUNTARY COUNSELING & TESTING SERVICES IN TRINIDAD AND TOBAGO Izola Garcia Information and Communications Management Officer, The National AIDS Coordinating Committee
  • 2. VOLUNTARY COUNSELING & TESTING SERVICES  PRESENTED BY: IZOLA GARICA INFORMATION & COMMUNICATIONS MANAGEMENT OFFICER, NACC, TRINIDAD & TOBAGO  DATE: THURSDAY 21ST APRIL, 2005
  • 3. THE EPIDEMIOLOGICAL SITUATION IN TRINIDAD & TOBAGO  First reported HIV case was in 1983  Up to the end of 2004, there have been 14,536 reported HIV cases (cumulative)  At the end of 2003, it was estimated that there were 20,000 people living with HIV.  70% of infections occur between ages 15 to 49 years  45% of new infections occur in females  In the 15-24 age group, 70% of the new infections occur in females  Source: Ministry of Health, National Surveillance Unit
  • 4. ADMINISTRATIVE ARRANGEMENTS OF VCT  PMTCT 105 Health Centres 6 Hospitals (ALL)  STI Clinics QPCC & C San Fernando General Hospital 5 Outreach STI Clinics
  • 5. KNOWLEDGE IS POWER!
  • 6. SERVICES PROVIDED  Pre & Post test counseling- Maternal and Child Health Clinics at Public Facilities  97 % of attendees are offered counseling  95 % of attendees are offered testing  Pre & Post test counseling at STI clinics—100% of attendees
  • 7. USE AND DEMAND OF SERVICES  Demand for VCT is high  Adhoc outreach at health facilities is high. This is due to the awareness of HIV/AIDS as a disease and the population wanting to know its status  Counseling and care are provided from nurses, doctors, medical social workers, voluntary persons from non-governmental organisations and faith-based organisations  Unfortunately, many of those tested do not return for their results. (confidentiality, time lag)  Increased offerings at event-based and outreach VCT services. E.g. World AIDS Day, Youth Day, Church fairs.
  • 8. NUMBER OF PERSONS UNDER ANTI-RETROVIRAL TREATMENT PLWHAs TREATMENT & CARE ARV TREATMENT TOBAGO CHILDREN 20 14 ADULTS 90 70 EWMSC CHILDREN *80 30 CYRIL ROSS 77 45 SFGH ADULTS *307 300 CHILDREN *10 10 MRF 1981 1004 TOTAL 2565 1473 *estimated
  • 9. ESTIMATED NUMBER OF PEOPLE NEEDING ANTI-RETROVIRAL TREATMENT  3000-6000 persons (15-30% of 20,000 estimated HIV positive)
  • 10. VCT INTO THE FUTURE OF TRINIDAD & TOBAGO MEETING THE SOCIETY’S NEEDS  Baseline surveys and other research to further assess needs and trends  NSP mandates free VCT services in every district of Trinidad & Tobago  NGOs and FBOs becoming increasingly involved  Impending use of mobile VCT clinics to offer service to rural areas and to provide greater community access  Formalisation of national media campaign to support VCT  Formalisation of National VCT policy
  • 11. THANK YOU FOR YOUR UNDIVIDED ATTENTION!